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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

OIG, exclusion monitoring, OIG Exclusion

The Complexities of Exclusion Monitoring

Posted by Donna Thiel on Thu, Jun 22, 2017

Let’s take a stroll down memory lane. Do you remember when you were the new compliance officer in your organization? Maybe you were reviewing all of the compliance processes and trying to determine what was working well and where things might need a little improvement? At some point, if you’re like me, you began to review the exclusion monitoring process and quickly realized you need some help.

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OIG Exclusion List, OIG, OIG Exclusion

The OIG Exclusion List Reinstatement Process

Posted by Michael Rosen, ESQ on Tue, Jun 20, 2017

Did you know that according to the OIG, when your exclusion is “over” not everyone is automatically “cleared” at the end of the exclusion period? Instead, the provider must apply through the OIG for reinstatement. Many times, this assumption can really hurt providers when they come to realize that they are still on the OIG exclusion list years later.

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Industry News, OIG, Penalties and Fines, OIG Exclusion

Student Loan Crisis: Exclusions Issued for Defaulting on Loans

Posted by Michael Rosen, ESQ on Tue, Jun 13, 2017

As a nation we're facing a serious student loan crisis. Whether you paid off your loans years ago, continue to pay them off now, or helping your children or grandchildren with their share of loans, we've all encountered the massive amounts of student debt piling up. 

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OIG Exclusion List, Healthcare Compliance, OIG

The ABC's of OIG Exclusion Monitoring

Posted by Mike Rosen on Fri, Jun 02, 2017

* Updated from original post on 12/17/2015

Healthcare compliance is complicated and full of regulations, guidelines, and oversight. Since federal tax dollars are used to reimburse health care providers for services, the Department of Health and Human Services (HHS) as well as the Department of Justice (DOJ) have oversight on how those dollars are spent. The purpose of this blog post is to give a basic understanding of exclusions, industry best practices, and a brief description of the federal exclusion databases.

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OIG, Medicaid, Fraud and Abuse

Mother and Son Conspire to Defraud Medicaid

Posted by Michael Rosen, ESQ on Thu, May 25, 2017

Does it matter whose license is used to bill CMS for services? Don’t ask these moms - they don’t know best!

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